| Circle Of Friends Services Inc | |
|
517 Deltona Blvd Suite A Deltona FL 32725-8016 | |
| (386) 259-5413 | |
| (386) 753-9265 |
| Full Name | Circle Of Friends Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 517 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Barbara Jean Defazzio (PRESIDENT) |
| Authorized Official Contact | 3862595413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Friends Services Inc 517 Deltona Blvd Suite A Deltona FL 32725-8016 Ph: (386) 259-5413 | Circle Of Friends Services Inc 517 Deltona Blvd Suite A Deltona FL 32725-8016 Ph: (386) 259-5413 |
| NPI Number | 1467691873 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467691873 | NPI | - | NPPES |
| 001258900 | Medicaid | FL | |
| 001258901 | Medicaid | FL | |
| 001258905 | Medicaid | FL | |
| 001258904 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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